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Feeding Blog

how to raise a happy healthy eater

WHAT ARE THE WORST CUPS FOR YOUR CHILD?

10/27/2021

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So your little baby is growing up fast, and it's already time for them to start drinking from a cup! At 6 months of age, we want to start teaching them how to use cups and straws, right when they start solid foods! 

Just because a cup is on the market doesn't mean that it's good for your baby. In fact, many cups on the market today HINDER your baby's oral motor development. 

It’s best to avoid cups that promote continued use of an immature swallow pattern which utilizes the tongue for control as opposed to the lips and other facial muscles. This can lead to a prolonged tongue thrusting pattern that eventually is no longer developmentally appropriate. This behavior has the potential to lead to additional difficulties later related to eating, drinking, speech, and more.  Here are some examples of items to avoid: 

Spouted sippy cups are very common, however, they are not ideal for mouth development. Spouted sippy cups promote jaw thrusting when sucking and require the tongue to protrude out under the spout to engage in a suckling pattern to take a sip of liquid. This promotes your baby to maintain use of an immature sucking and swallowing pattern and can lead to prolonged tongue thrusting. In addition, the head must tilt back, which extends the neck. This can open the airway and allow liquids to enter the airway rather than traveling down the esophagus.

Cups with a top membrane, such as the Munchkin 360 cup, may also promote an immature swallow pattern. Your baby must tilt their head and extend their neck to take a sip, similar to a spouted sippy cup. Additionally, you must press your upper lip into the top membrane of the cup and suckle the rim of the cup to take a sip of liquid, which again promotes an immature sucking and swallowing pattern. 

While we have discussed some straw cups recommended for your baby, be careful when choosing a straw cup. There are some straw cups that promote suckling and immature swallow patterns. Here are some considerations when choosing a straw cup:  

Consider the length of the straw. Short straws promote a mature swallow pattern and reduces the likelihood of the child biting the straw or using the straw on one side of their mouth. Instead, the child must use their lips as well as their supporting facial muscles to take a sip and a short straw ensures use of the straw in the center of the lips which supports balanced facial muscle development. 

Avoid cups with soft straws, such as the Dr. Brown’s straw cup which has a soft, silicone straw. Soft straws often collapse when you try to take a sip as expected (i.e., straw touching the lower lip and the lips rounding around the straw) and therefore no liquid will go through the straw. However, if you suckle the straw, you’re able to get sufficient liquid through the straw, prompting continued use of an immature sucking and swallowing pattern and tongue thrusting. There are additionally some weighted straws that similarly collapse while your child takes sips of the liquid from their cup causing them to rely on sucking. It’s recommended you try out the straw ahead of time to ensure that the straw does not collapse or require suckling to access the liquid.

Also consider the diameter of the straw. Monitor your child’s sips. Straws with a large diameter are great for drinks such as smoothies, but a larger diameter allows for a greater amount of a thin liquid, such as water, to move through the straw. You may need to choose a straw with a more narrow diameter to restrict the flow of liquid if your child is coughing or showing other signs that the amount of liquid is overwhelming.

As a parent, I know how much worry and planning goes into every detail of your child’s life. We want the best for them at every turn, and there are so many decisions to make! Hopefully, we have helped narrow down some options for this one topic, and guided you on the right path so you can check this off your list! 

​Contact us
 to work with us directly, and if your child is a picky eater, you can also learn how to work with your child yourself using our proven strategies in our self-paced parent course. ​

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WHAT ARE THE BEST CUPS FOR YOUR CHILD?

10/25/2021

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Are you ready to start introducing your baby to drinking from a cup? Babies can start to take single sips to drink from an open cup at 6 months before progressing to taking multiple, consecutive sips at a time and can learn to drink from a straw between 6-9 months of age. 

You may be looking into buying a cup for your baby and notice there are A LOT of cup options out there –hard cups, soft cups, sippy cups, straw cups, open cups, weighted cups, cups with handles, non-spill cups, big cups, small cups… Whew! And that’s not even a comprehensive list.  However, many of these cups promote poor oral motor skills, so, let’s talk about what a sip of liquid should look like, then about the best and worst cups for your child. ​
Here are a couple of recommendations for open cups that promote healthy oral-motor skills: 
  • The Tiny Cup by ezpz – 2-ounces; silicone cup that is designed to fit in your baby’s hands.
  • Flexi Nosey Cup Combo-  1oz, 2oz and 7oz sizes; this set up cups has a scooped out opening for the nose that facilitates drinking without tilting the head or neck.
  • Shot glass (e.g., small shot glass made of a glass material, hard red solo cup shot glass) –1.5-2-ounces; shot glasses are small and allow your baby to work on tipping the cup to take single sips or consecutive sip
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It’s recommended you choose a cup that promotes a mature swallow pattern, just like we use. These include open cups and straw cups. It’s best if you can find a cup that is easy for your baby to hold (think, “tiny hands!”) so they can take small sips and slowly build up the skills needed to take sips. The swallow is initiated when the liquid is approaching the oral phase and the mouth is anticipating the liquid. So, we want to do everything we can to promote independence with drinking as soon as it’s developmentally appropriate. It might be messy at first, but worth it in the long run!
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We also want to give you recommendations for straw cups that promote healthy oral-motor skills:
  • Honey Bear Straw Cup by TalkTools – 5- or 7-ounces; has a short straw that comes in various diameters so you can control the flow of liquid
  • Take & Toss Cup with Straw –10-ounces; replicates drinking out of a normal cup with a straw; there are handles that you can attach to the cup so your baby can hold the cup easily.
  • Rubbermaid Juice Box Straw Cup – 8.5-ounces; this cup has a short, hard, and narrow straw which limits the amount of liquid that will move through the straw at one time.​

For some of the options above, your baby can squeeze each of these cups to help prime the liquid into the straw, which encourages and eases them into straw drinking. You might be asking, why the emphasis on short straws? Short straws will continue to promote a mature swallow pattern through facilitating the use of lips and other facial muscles when swallowing; not the tongue.
For the more advanced straw users:
These options of cups with straws are great for a child with a more mature swallow pattern, where they are able to utilize lip and jaw strength with more consistency and have moved away from the suckling pattern with the tongue. Some are faster flow, which also requires more control and strength.

  • The Mini Cup and Straw Training System by ezpz – 4-ounces; designed by a speech language pathologist who is a feeding specialist; can also be used as an open cup. It is notable that the straw has a large diameter, which can be overwhelming for the child at first. You will also want to ensure your child does not rest their lower jaw on the cup for stability.
  • Click Lock Weighted Straw Cup  – 7-ounces; has handles that makes the cup easy to hold; there is a flip top lid that covers the straw and locks to ensure there are no spills. 
  • ThinkBaby Stainless Steel Straw Cup - 10oz; this cup has a short and narrow straw and requires a slightly stronger than normal suck, activating cheek muscles. Comes with handles for easy grabbing.

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    Author

    Christine Miroddi Yoder is a parent and feeding expert. She is the author of the book Mealtime Mindset and the Podcast How to Un Picky Your Picky Eater and owner of the feeding clinic Foodology Feeding Therapy. 

    WANT TO WORK WITH ME? 

    Book a 30 minute call with me by clicking here

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